Individual
DR. KELLEY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3039
CA
Other
Enumeration date
11/18/2015
Last updated
03/23/2020
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